Today our topic of discussion is General Instruction of Sigmoidoscopy.
General Instruction of Sigmoidoscopy
General Instruction
- Explain the procedure to the client and win his confidence and cooperation
- The client assumes a knee-chest position
- The client is instructed to eat a light evening meal prior to the examination
- Catheterize are seldom used in preparation for this examination
- Enema should be given until the return is clear before the examination
- The nurse should remain with client.
- Watch his general condition and monitor the vital signs and skin color.
- Both doctor and nurse should follow strict aseptic technique
- Lubricate the instrument before introducing into the rectum
- Do not expose the patient unnecessarily.
Preliminary Assessment
- Identify the patient name, age, ward, bed number, sex and diagnosis
- Check doctors order for specific precautions
- Check the general condition of the patient
- Check for any lesions on the rectal area
- Check the consciousness and ability to follow instruction
- Assess the need for extra help
- Articles available in the unit.
Preparation of the Article
- Sigmoidoscope
- Draping sheet
- Gloves
- Lubricant
- Cotton swabs
- Emesis basin
- Toilet tissue
- Biopsy forceps
- Suction machine
- Paper bag.
Preparation of the Patient
- Explain the procedure to the client
- Provide privacy with curtains and adequate draping
- Cover the patient with sheet or bath blanket
- Remove the back rest and extra-pillows
- Place the Mackintosh and towel under the patient
- Place the patient in a knee-chest position arranged on the bedside locker and
- Keep all the article check the article for good working condition
- Remove the bottom garments or raise it up above the waist level
- Fold back a small portion of the sheet or bath blanked to expose only the anal region.
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